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Home My WebLink About1997-009710 - sewer disconnets PERMIT ;� G�TY OF ORONO PERMIT TYPE: ?_750 Kelley Parkway- P.O. Box 66 Permit Number: ° -E'� i.� Crystal Bay, Minnesota 55323 � _ : � !612)473-7357 Date Issued: SITE ADDRESS: - :: : .::.: .;: ,.. : , _ .. ,_.::_ .. . � : -... : �..� _.;�., . _, . _ .. _ _ ....: ...... ._. . . i - � I� DESCRIPTION: .<�.r . -t i�, _ ,V . ., �. :,a _ ._..,.. . 4_.�..'. :.'.°_`. r i'�:1`:! �.�i:�ts:_.,�� (;i.,-,i,;' •' _ 1:1� ;'ii � YC+;` � r ='t{";' ' _. _ ... _ _... . . . _ . , .. _._ �.i.�_ �,i�__.. � _ �C�.�.UP� ls C'�j_�� .. -- , -- -- ----, --------___ `--� -- --, -- - - __--- �4�-' �t S G�� ___ .__ ____..._._. REMARKS: _ _______ -_-- ------ _ ------- — - --- - --- -�---- ._._ �--- -------- ___---._ --____ _– .,— ,�- FEE SUMMARY: . ----- , __- -- ----- --____ __________� - I �t5� t � �00 ---- _ _ ___ _----_------ -------- _ ;..�;..� �< <�(� Htvs�. 13�� Na.�� .��i�a':� . .=r' - - � - - � ,-�•. . �. _ ��. L:'•. r��_�ri;� t.�.: �i�', �� ...-�--_.' ___.__.__.. -— --.._. i._tt..;�.� F-ti!:: ��,_�_� _ —.' . . . ---- -. _ ___�� __---- � -- �h_�_ ��.��s��I�ke��l�� - . C z��.f�1__S.��ic� � __ _ _-____� t � i � - CONTRACTOR: _ . , .; ;�,,.;, - � . _ _. _ _ , i � .. `� I � . .:--- -•- � ;,,_•,.. .:, , :.. - - _ _ � - - � - � � .. ; : �. �. - .- _ _. t` _ . _ � ` . ` 'L . _ ��_ . _ , . . ��— `� �,.� � .�.� ,_ �'��' :..�� , , � _ ' r —�s , _ .. � s � �. . � . . ,t . , .. .. . ,� _ . , . ,-� •- . .._,.� . _ �. , ,. , ` V F . .. ,'` w ,Fi *�•.� ^. � �. . . . , , ,.t.F =' .� + � `t. . � . � ' :: �� . u,� �_, L . _. � � � � � ` l- APPLICANT;PERMITEE SIGNATURE ISSUED BY:SIGNATURE .�i`-�jf G�C - CITY OF ORONO APPLICATION FOR UTILITY PERMITS ,�+ '► Box 66 (2750 Kelley Parkway) SEWER/WATER Crystal Bay, MN 55323 GENERAL INFORMATION 1. You may apply for etility permits by mail or in person at the City offices. 2. Mailed in applications are subject to the postage and handling fees shown below. Permit cards will be sent by return mail the same day the application is received. 3. Permits are not valid until you receive a permit card. 4. Work must not begin unless the permit card is available on the job site. 5. Utility connection permits may be issued to licensed contractors only. 6. Contact the Public Works Department(473-7357)for utility stub as-built locations. DO NOT EXCAVATE IN ANY STREET AND DO NOT TAP ANY MAIN without express approval of the Public Works Department. Issuance of a permit does not grant this approval. 7. All work must be done in accordance with State Code requirements. 8. All work must be inspected before it is covered. Ca11473-7357. 24 hour notice required. JOB SITE ADDRESS: ,'��Cl /'�;•�-.��i � ��` P� � �, �- � Occupancy Type: �/' Residential Commercial Owner's Name: /.�: 1�, v2��-.,l PhoneNumber: �t�,� -- `�S lf y Mailing Address: 5 �,,�,.-c City:�'-� ;� ,��, Zip: S S "3�>/ Contractor's Name: °�,,i i � �-v. �a 4, 1� 1�_, PhoneNumber: �/7 3 -Y3�� Mailing Address: 3 :, ,;U y�_�v� City: [..>-,-,z y.i�_ 7�p� S S 3 4 � � PERMIT TYPE Municipal Sewer Connection ($35.00 per stub) $ S. `��'�' pipe size�_inches; material �Schedule 40 air tested; cast iron SAC Charge($950.00)must accompany all sewer permit applications unless prepaid. If not prepaid, a sewer connection permit will not be issued. Municipal Water Connection ($35.00 per stub) $ pipe size inches; material copper; other WATER METERS must be picked up and paid for at City Hall. (5/8" meters = $139.00; 3/4" meters = $191.00; 1" meters = $247.00) Separate Plumbing Permit issued for water meter. Water meters must be set and sealed by Orono Water Department(473-735�upon completion of ineter installation. REQUIRED minimum setbacks from drainfield and septic tanks = 75' REQUIRED setback from sewer line= 20' PERMIT FEE CALCULATION 1. Subtotal of above permit requested $ 2. State Surchar�e $ .50 The State Building Code Division Surcharge of$.50 per permit must be G included for each well,sewer and water connection permit requested. 3. Postage & Handlin�(Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (add lines 1-3 above) $ d The undersigned hereby applies to the City of Orono for issuance of a Utility Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete,true and correct. Signature of Applicant: Date: DATE TIME DATE/ TIME CITY OF ORONO CALLED IN L/��)/c; � CITY OF ORONO CALLED IN �,t i/I INSPECTION NOTICE SCHEDULED /i�� .2 ;�� INSPECTION NO ICE SCHEDULED i �� /U -`.3�� PERMIT NO. �/C� �_ � PERMIT NO. I(� �' -- coMP�ETEo r1 w� COMPLETED ADDRESS / �' ADDRESS '�-�� ./, OWNER ��-� CONTR. �<�l/i,�--. .-� - OWNER CONTR. . :� �1.,,��... TELEPHONE NO.__ '`�7 -- ��j � TELEPHONE NO. 'S�7.� - ��n � �- DESCRIPTION � DESCRIPTION � � 01 FOOTING 11 MECHANICAL RI W Ot FOOTINO 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 19 EXCAV/GRADING/FILLINO � Q 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL p 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 17 SITE INSPECTION =- 2 O5 FINAL �''i��f4SE�VER H-P:_.__` p6 PROGRESS � 05 FINAL � 14 SEWER H00� p6 PROGRESS ~ 07 DEM�SITE 27 SEPTIC MAINT. 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT v 21 COMPLAINT v �Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q 07 OEMO--FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL = �PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 28 CEDAR SHINGLES +� 10 PLUMBINd FINA� 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL Q OWNER/CONTRACTOR TO MEET YOU: YES NO 36 FOUNDATION FiEMOVAL Q OWNER/CONTRACTOR TO MEET YOU: YES NO Z Z — — � COMMENTS: � COMMENTS: � a �—i�s QC� � 9 C�9�/P1' � ' ` � ' � J J O p � � � � � � O p u � W W � � � Q - � � t � Z W � W W � � � j d � WORK SATISFACTORY:PROCEED d �WORK SATISFACTORY:PROCEED -: ROJECT COMPLETE PROJECT COMPLETE ❑ CORRECT WORK 8 PROCEED W l7 CORRECT WORK 8 PROCEED = ISSUE CERTIFICATE OF OCCUPANCY W C. ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR RE�NSPECTION TEMPORARY � �-� CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING V BEFORECOVERING pERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN " PHOTO TAKEN INSPECTOR WILL RETURN � PHOTO TAKEN ❑STOP ORDER POSTED.CALL INSPECTOR f; CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR —' CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. ❑ INSPECTION REQUIRED.CALL TO AfiRANGE ACCESS. Call for the next in ection 24 hours in advance.473-7357 Cal1 for the nex inspection 24 hours in advance.473-7357 OwnedContrac n sit : OwnerlContra t n i e: Inspector. Inspector. White Copyllnspeclor's File Canary CopylSife Notice White Copyllnspector's File Canary Copy/Site Notice DATE TtME DATE TIME CITY OF ORONO -�r. _ ca��Eo iN ,f'- .�S-�- � CITY OF ORONO 1 CALLED IN �� -`� ' INSPECTION NOTICE � ��'- scHE�u�Eo ii -.�_s' 3 � �'� INSPECTION NOTICE�� scHEou�E� /� '� a% � �' PERMIT N0. �`'�-�/ COMPLETED PERMIT N0. � COMPLETED K _j,� ADDRESS / i �� `��t..��. �-� ADDRESS �S �'�� Z--��-2� �� /��/ OWNER /�'�-� CONTR. !-�^.e�,E�!-�-�c a u�:� OWNER �c-� CONTR.�-tti/��r-�t-o TELEPHONE NO. �f 7 3 �� `�?��' TELEPHONE NO. �1 7 3 " �-/•3 C'�' � DESCRIPTION � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 01 FOOTING 11 MECHANICAL RI 19 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAi�SHORE/WETLANDS y 02 FRAMING 13 MECHANICAL FINAL 79 LAKESHORE/WETLANDS Q 03 INSULATION 24/25 WOOD BURNEFUFIREPLACE 34 TREE REMOVAL � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER k1� 17 SITE INSPECTION Q 04 WALL BD. 12 WATER H_ 0� OK-U� 17 SITE INSPECTION Q . � OS FINAL �4 SEWER HOOK-UP,' 06 PROGRESS Z 05 FINAL �14 SEWER HOOK-U� 06 PROGRESS J 07 DEMO—SITE 27 SEPTIC MAINT. ' 21 COMPLAINT J 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL � 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � COMMENTS: � w a o � o ! '� � �e-�'l1�C�> � � � � 0 0 � � w w - � i � Q Q � � w � � W W W � � � - ` J f' � �[�'WORK SATISFACTORY:PROCEED �ROJECT COMPLETE � �M1lORK SATISFACTORY:PROCEED -_ PROJECT COMPLETE �` W lJ CORRECT WORK&PROCEED -: ISSUE CERTIFICATE OF OCCUPANCY W LJ CORRECT WORK 8,PROCEED ISSUE CERTIFICATE OF OCCUPANCY O i_, CORRECT WORK,CALL FOR REINSPECTION TEMPORARY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING � BEFORECOVERING PERMANENT V PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. �- pHOTO TAKEN ❑CORRECT UNSAFE CONDITION WITHIN HOURS. - pH0T0 TAKEN INSPECTOR WILL RETURN INSPECTOR WIIL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '- CITATION ISSUED ❑ STOP ORDER POSTED.CALL INSPECTOR f. CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Call for the ne t ins tion 24 hours in advance.473-7357 OwnerlContractor o 'te:� OwnerlContracto site. Inspector. Inspector. White Copyllnspector's File Canary CopylSite Notice White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO - cA��Eo iN ��- .�.5"-`�' INSPECTION NOTICE ��r\'� SCHEDULED ii -.�-s' � ; �'� PERMIT N0. `�'j COMPLETED ADDRESS i `� �}� ��``t��"`-�� r OWNER J��-� CONTR. /-��-�t=-��c t� � TELEPHONE NO. '`�? � � `f-?� � DESCRIPTION � Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GFWDING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Q04 WALL BD. 1�2-W--A--TER-� 17 SITE INSPECTION = 05 FINAL Y45EWER HOOK•UP' 06 PROGRESS � 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT J �Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER HEMOVAL � 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � w � j � O �� >. � O � W 2 � Q � 2 W � W � � ��/ � �{�'WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W �. CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY O C: CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR - CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 OwnerlContractor o 'te:� Inspector. White Copyllnspector's File Canary Copy/Site Notice / DATE TIME CITY OF ORONO 1 CALLED IN (�� '� � INSPECTION NOTICE�I�� scHEou�E� /� '"a a% 3� PERMIT NO. COMPLETED K _� ADDRESS �S�' G� tz--�i��rz�`-e� �� /�c/ OWNER �C'� CONTR. �-[��v��-et-�-a TELEPHONE NO. C/ 7 3 - �,/:� C U � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLINCa �Q 02 FRAMING 13 MECHANICAL FtNAL 19 LAKESHORE/WETLANDS p 03 INSULATION 24l25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL B0. 12 WATER HOOK-UP 17 SITE INSPECTION � O5 FINAL 14 SEWER H— OOK-U� p6 PROGRESS J 07 DEM4—SITE 27 SEPTIC MAINT. 21 COMPLAINT Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � ! '� � �f'./'�1(,C�� 0 a � 0 � W � Q � Z W � W � � � d GVORK SATISFACTORY:PROCEED PROJECT COMPLETE W � ❑ CORRECT WORK&PROCEED - ISSUE CERTIFICATE OF OCCUPANCY W O C; CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. -, pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP OROER POSTED.CALL INSPECTOR ^ CITATION ISSUED u INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne t ins tion 24 hours in advance.473-7357 OwnerlContracto site. Inspector. White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN /�/1�)/�r J iNSPECTION NOTICE SCHEOULED // � � � UL PERMIT N0. �j�� COMPLETED �_ _C� ADDRESS � OWNER c� � CONTR. �,��i.r--.�-rc.; TELEPHONE NO. '`�7.3- ��"� C� � DESCRIPTION � Ot FOOTING 11 MECHANICAL RI 1B EXCAV/GRADING/FILLING y 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS p 031NSULATION 24/25 WOOD BURNER/FIFiEPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION �>�_-�------� = OS FINAL �'i4�-8EWERHOOK-11P__� 06 PROGRESS ~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT J W 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 2$CEDAR SHINGLES 36 FOUNDATION REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � �—Lrs �� d � GO�P./'- � J O � � O � W � Q � Z W � W � � d WORK SATISFACTORY:PROCEED PROJECT COMPLETE W WC CORRECT WORK 8 PROCEED �_. ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. , pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ;-: CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next in pection 24 hours in advance.473-7357 OwnerlContrac n sit : Inspector. White Copyllnspector's File Canary CopylSite Notice